Organization
PRISM COUNSELING SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY L KUEHL LCSW (OWNER/PRESIDENT)
(402) 964-2883
Entity
Organization
Contact information
Practice address
7701 PACIFIC ST, SUITE 105, OMAHA, NE 68114-5480
(402) 964-2883
Mailing address
7701 PACIFIC ST, SUITE 105, OMAHA, NE 68114-5480
(402) 964-2883
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
08/27/2007
Last updated
08/27/2007
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